Epinephrine Auto-Injectors (Epi-Pen)

The purpose of this policy is to assist a children’s camp or EMS agency in understanding the notification process for utilizing epinephrine auto-injectors under the provisions of Article 30, section 3003 of the Public Health Law authorizing the use of an epinephrine auto-injector (epi-pen). An epinephrine auto-injector program is designed to encourage greater acquisition, deployment and use of epinephrine auto-injectors at children’s camps and EMS agencies around the State in an effort to reduce the number of deaths associated with anaphylaxis [hypersensitivity (as to foreign proteins or drugs) resulting from sensitization following prior contact with the causative agent].

At present, only New York State Department of Health Bureau of Emergency Medical Services (BEMS) certified ambulance services are required to have epinephrine auto-injectors and trained providers available when in-service. The exception to this rule is when the ambulance is staffed at the time of the call with an EMT –Critical Care or EMT-Paramedic authorized by the appropriate Regional Emergency Medical Advisory Committee (REMAC) to administer epinephrine via subcutaneous or intramuscular injection. All other recognized EMS agencies such as certified Advanced Life Support First Responder (ALSFR) agencies, Basic Life Support First Responder (BLSFR) agencies with a BEMS issued agency code and children’s camps as defined by subpart 7-2 of the New York State Sanitary Code are strongly encouraged to participate in the epinephrine auto-injector program.

To be authorized to purchase, acquire, possess and use an epinephrine auto-injector under this statute, the entity is required to file a completed and signed Notice of Intent to Provide Epinephrine Auto-Injector (NOI) DOH-4188 and collaborative agreement with the appropriate Regional Emergency Medical Services Council (REMSCO) who will then forward a copy of the NOI to BEMS.

Collaborative Agreement which must include:
  • Written practice protocols for the use of Epinephrine auto injector
  • Written policies and procedures for the training of authorized users
  • Notice the Emergency Health Care Provider of the use of epinephrine auto injector
  • Documentation of the use of Epinephrine auto injector
  • Written policy and procedure for the acquisition, storage, accounting, and proper disposal of auto injectors


Other Information:
NYS DOH has allowed a Pilot program for EMS Agencies as an cheaper alternative to Epi-Pens. Please visit the SEK 'Check & Inject NY' page for more information

Send your forms to:
Attn: Epinephrine
Lake Plains Community Care Network, Inc.
575 East Main Street
Batavia, NY 14020